P Praxis·MD
● Active Type 1 · Individual

Karen M Pennelli, P.A

Physician Assistant·Canton, GA· NPI 1811088685 · Enumerated 2006 · 19 years on NPI
Pennelli is 1 of 48 physician assistant providers in Canton and 1 of 4616 in Georgia.
NPI age
19 years
Enumerated 2006-09-27
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-04-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
470 Northside Cherokee Blvd Ste 170
Canton, GA 301158029
📞 7707219540fax 7707219541
Mailing address
3400 Old Milton Pkwy # C, Suite 290
Alpharetta, GA 300053707
📞 7706674337fax 7706674338

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3400 Old Milton Pkwy # C, Suite 290
Alpharetta, GA 300053707
📞 7706674337fax 7706674338

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #008027MA license #784 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    MA license #PA784 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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